Provider Demographics
NPI:1083251847
Name:MOORE, JOSEPH RICHARD (CPC, AAC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:RICHARD
Last Name:MOORE
Suffix:
Gender:M
Credentials:CPC, AAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7320 WINONA AVE N APT 305
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5158
Mailing Address - Country:US
Mailing Address - Phone:206-441-3329
Mailing Address - Fax:206-441-4155
Practice Address - Street 1:222 WALL ST STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1431
Practice Address - Country:US
Practice Address - Phone:206-441-3329
Practice Address - Fax:206-441-4155
Is Sole Proprietor?:No
Enumeration Date:2019-11-28
Last Update Date:2019-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist